Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 036.119314 | IL |
N | 208D00000X | General Practice Physician | 036119314 | IL |
NPI | 1003080847 |
---|---|
Provider Name | Rita Zafra |
First Address | Oakbrook Terrace, IL 60181-4240 |
Second Address | Oakbrook Terrace, IL 60181-4240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2008 |
Last Update Date | 08/01/2020 |